. Razieh Fallah; . Mohammadreza Maleki
Volume 11, Issue 10 , November 2021, , Pages 1-15
Abstract
Private hospital services (PHS) with the undeniable effects on the Universal Health Coverage (UHC)goals have a considerable contribution to the health system of developing countries. ...
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Private hospital services (PHS) with the undeniable effects on the Universal Health Coverage (UHC)goals have a considerable contribution to the health system of developing countries. The purpose ofthis systematic scoping review (ScR) was to identify and map the available evidence regarding thedeveloping countries to scrutinize the nature of the PHS toward UHC through providing graphical/tabular information of the records trends and types, sources of the records, frequent settings, driversof the PHS growth, range of the PHS, behaviors of the PHS, and opportunities for policy actions.This study was performed following the 2017 published methodological guidance of the JoannaBriggs Institute for the conduct of ScR. Furthermore, a narrative‑thematic synthesis integrated withthe systematic analysis applying approach to health system strengthening (HSS) through systemsthinking was employed. Thirty‑two included records in English that met the inclusion criteria werefound between 2011 and July 2020. There has been a sharp increase in the generation of the recordswith a 90.6% growth rate between 2015 and 2020. The most frequent records types were reviewarticle, and the lancet was the most specialized journal. India was the most frequent country. Nearhalf of the growth drivers of PHS have been originated from the governance. Besides, the range ofPHS was identified only about Mongolia, and the significant frequency of codes of the PHS behaviors(32.6%) was related to integrated people‑centered health service delivery. 47.8% of the identified HSSinterventions were recommended about governance. Governance plays a decisive role in the natureof the PHS in UHC. Concerning the dynamic architectures of interactions between health systemfunctions, probably the countries themselves have realized the importance of the governance role inthe HSS than other functions. Given the all of the recommended interventions were a combination offoundational and institutional, sustainable participation of PHS in the health system seems far andrequires a solid will of the governments. Future research is needed about the range of PHS and itsbehaviors in terms of consumables, revenue‑raising, and pooling of funds.